Plastic surgery; its principles and practice . Pig. 480.—Operation for the reconstruction of the nose (Berger).—i and 2. A flap asoutlined is raised, turned down, and sutured to the freshened border of the nasal defect. A double flap may also be made by turning on itself a flap from thearm. After union of the raw surfaces, the edges are freshened and theflap is implanted into the defect. This method will be illustrated laterin an operation of the authors for the repair of a cheek defect. The flap may be lined with skin by grafting the under surface SURGERY OF THE EXTERNAL NOSE 449 either with
Plastic surgery; its principles and practice . Pig. 480.—Operation for the reconstruction of the nose (Berger).—i and 2. A flap asoutlined is raised, turned down, and sutured to the freshened border of the nasal defect. A double flap may also be made by turning on itself a flap from thearm. After union of the raw surfaces, the edges are freshened and theflap is implanted into the defect. This method will be illustrated laterin an operation of the authors for the repair of a cheek defect. The flap may be lined with skin by grafting the under surface SURGERY OF THE EXTERNAL NOSE 449 either with OlHer-Thiersch, or with whole-thickness grafts, by theopen or by the buried methods, and allowing healing and shrinkage totake place before the flap is transplanted. Reconstruction of the Framework of the Nose There are two methods of making a framework for the nose. Inone we make use of inorganic jnaterials, which may he removable, or maybe buried. Prosthetic apparatus has already been considered, but Imight again say that the use of bur
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